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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015601241
Report Date: 07/02/2025
Date Signed: 07/02/2025 01:58:43 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/30/2025 and conducted by Evaluator David Doidge
COMPLAINT CONTROL NUMBER: 15-AS-20250630154625
FACILITY NAME:DIMOND CAREFACILITY NUMBER:
015601241
ADMINISTRATOR:BLAIN, JOHN F.FACILITY TYPE:
740
ADDRESS:3003 FRUITVALE AVENUETELEPHONE:
(510) 436-0823
CITY:OAKLANDSTATE: CAZIP CODE:
94602
CAPACITY:30CENSUS: 26DATE:
07/02/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Sarah Chu, Assistant to the AdministratorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Lack of supervision
INVESTIGATION FINDINGS:
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On 07/02/2025 at 10:15 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a 10 day initial complaint investigation for the allegation above. Upon arrival, LPA met with Johana Reyes, House Manager and explained the purpose of the visit. Sarah Chu, Assistant to the Administrator arrived at 10:35 AM.

During the course of the investigation, LPA conducted interviews with facility staff and two staff with Center for Elders' Independence (CEI). LPA also obtained and reviewed copies of the Physician's Report (602), Appraisal Needs and Services Plan (ANS) and after visit summitry for an appointment dated 06/20/2025 for a R1.

Allegation: Lack of supervision.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: David Doidge
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 15-AS-20250630154625
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: DIMOND CARE
FACILITY NUMBER: 015601241
VISIT DATE: 07/02/2025
NARRATIVE
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Continued from LIC9099

Findings: On 06/20/2025, R1 was picked up by CEI for an appointment. R1 was transported from the facility to CEI and back. Staff interviews confirmed R1 was in CEI’s care while leaving and returning to the facility. Once in CEI’s care, CEI is responsible for monitoring and assisting any CEI participant until that individual is walked back through the main door of the care home, as confirmed by CEI staff interview. Although Dimond Care is responsible for the well-being of R1, CEI was entrusted to care for R1 while being transported, therefore the above allegation is Un-Substantiated.

A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies cited during the visit. Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: David Doidge
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2